Active NPI
Suzanne M Koesy, RPH
- Pharmacist
- Little Rock, AR
National Provider Identifier
1720332950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 07130
- Practice address
- 9200 N Rodney Parham Rd
Walgreens Pharmacist
Little Rock, AR 72227-6202 - Phone
- (501) 223-8914
- NPI assigned
- Nov 9, 2012
- Last updated
- Nov 9, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 07130 | AR | Primary |
Addresses
Primary practice location
9200 N Rodney Parham Rd
Walgreens Pharmacist
Little Rock, AR 72227-6202
Mailing address
4 Bangor CT
Little Rock, AR 72223-4900
Phone (501) 765-3662
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07130 | AR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352419200000",
"number": "1720332950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 BANGOR CT",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722234900",
"telephone_number": "501-765-3662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9200 N RODNEY PARHAM RD",
"address_2": "WALGREENS PHARMACIST",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722276202",
"telephone_number": "501-223-8914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOESY",
"first_name": "SUZANNE",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-09",
"last_updated": "2012-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "07130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.